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目的 对住院治疗的老年结核病进行临床分析,探讨其特点及疗效。方法对2000~2005年在我所住院治疗的396例60岁以上老年结核病进行分析。结果 6年间在我所收治住院1631例中,60岁以上老年结核病占24.3%;死亡29例,占总死亡(57例)的50.9%;肺结核37例中初治占54.3%,复治占45.7%,菌阳率为31.6%,合并空洞者占27.3%,Ⅲ型合并Ⅳ型者占20.3%;合并症较多,肺内感染占30.5%,伴咯血占9.6%,糖尿病占8.8%,其他呼吸系统疾病占19.5%,心血管疾病占9.0%。好转出院占92.8%,死亡7.3%。结论对老年肺结核的治疗应予足够重视,提高对老年肺结核的治疗水平,对中青年结核病的及时,彻底治疗是防治老年结核的重要措施。
Objective To analyze the clinical characteristics of elderly hospitalized tuberculosis (TB) and investigate its characteristics and efficacy. Methods A total of 396 elderly patients over the age of 60 who were hospitalized in our hospital from 2000 to 2005 were analyzed. Results Of the 1631 hospitalized patients admitted to our hospital in 6 years, 24.3% of elderly patients with TB were over 60 years old, 29 died of death, accounting for 50.9% of the total deaths (57 cases), 37 cases of tuberculosis (54.3%) and 45.7% %, The positive rate of bacteria was 31.6%, 27.3% were complicated by cavities and 20.3% were type Ⅲ with type Ⅳ; the number of complications was more, the incidence of pulmonary infection was 30.5%, the incidence of hemoptysis was 9.6%, diabetes accounted for 8.8% and the others Respiratory diseases accounted for 19.5%, cardiovascular disease accounted for 9.0%. Improvement discharged 92.8%, 7.3% of deaths. Conclusion The treatment of senile pulmonary tuberculosis should be given enough attention to improve the treatment of senile pulmonary tuberculosis. The timely and thorough treatment of middle-aged and young tuberculosis is an important measure to prevent and treat senile tuberculosis.